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Police powers and public health. The second patient, whose details were published previously [ 3 ], had tubercular pleural effusion. It is imperative that clinicians ask all patients in an open and non-judgmental fashion about their sexual behaviour and provide routine HIV testing and STI screening and treatment. High incidence of anal high-grade squamous intra-epithelial lesions among HIV-positive and HIV-negative homosexual and bisexual men. Although these challenges may appear difficult to surpass, it is possible to provide effective counselling when patients feel comfortable

Because of stigma and ignorance, the health care issues of men who have sex with men MSM have often been overlooked 1 , 2. A study from Tamil Nadu which used respondent-driven sampling found a herpes simplex virus-2 HSV-2 and syphilis prevalence of 28 and 8 per cent, respectively Same-sex love in India: HPV is most commonly associated with the development of anal and genital warts. This article has been cited by other articles in PMC. The prevalence of alcohol and drug abuse problems in this population also exceeds rates found in the general population in other countries Predictors of sexual risk behaviour and HIV infection among men who have sex with men in Chennai, India. Tripathi BM, Malhotra S. When the Hindu nation exiles its queers. For example, a married, self-identified heterosexual male, may still engage in sexual behaviours with other men. Medical providers should screen MSM for hepatitis B virus and immunize susceptible patients, given the propensity for sexual transmission of this infection among MSM 27 , 28 , 39 , Conceptual issues and research evidence. One had lupus vulgaris diagnosed on the basis of clinical presentation, histopathology, and therapeutic response to antitubercular drugs and the other had tubercular ulcer diagnosed on the basis of histopathology, smear, and culture Figure 4. Are men who have sex with men being reached? Showing empathy and making referrals for counselling can help those experiencing conflicting feelings. Other health issues of concern for MSM Mental health issues are another clinical area that deserves special attention for the care of MSM. It is difficult to prescribe exactly how to begin such a discussion, and questioning patients along these lines can be challenging to fit into a routine clinic visit. J Gay Lesbian Med Assoc. Much more work is needed to determine how to best help MSM minimize sexual risk, address mental health concerns, and engage in healthy lives. J Acquir Immune Defic Syndr. Barriers to free antiretroviral treatment access among kothi-identified men who have sex with men and aravanis transgender women in Chennai, India. Colonial influences imported a much more repressive attitudes towards sexuality than what had perhaps existed in pre-colonial India Abstract A significant proportion of men engage in sexual relationships with other men which has direct health implications, but the unique health care needs of these patients are often ignored or overlooked. Loss and recovery of self under colonialism. Diagnosis, treatment, and prevention of anal cancer. Anal intraepithelial neoplasia in the highly active antiretroviral therapy era among HIV-positive men who have sex with men. More research is required though to help to better guide mental health interventions for MSM in India.

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Despite extensive work-up, we could not detect any endogenous source of tuberculosis in the first patient. However, appropriate interventions among this group, including health care access, counselling, and STI treatment are proven ways to decrease the transmission in this population and in controlling rates of HIV incidence in the whole population.